| NPI | 1124765755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN264688) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11025891) |
| 163W00000X Registered Nurse (Licence: GA RN264688) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2026-03-04 |